Jee Yoon Kim, ANP in Orange, CT - Medicare Nurse Practitioner

Jee Yoon Kim, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Orange, Connecticut. Her current practice location is 240 Indian River Rd., Building A Suite 1a, Orange, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 795-1664.

Jee Yoon Kim is licensed to practice in Connecticut (license number 10549) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558697565.

Contact Information

	Jee Yoon Kim, ANP
	240 Indian River Rd., Building A Suite 1a, Orange, CT 06477
	(203) 795-1664
	Not Available

Map and Direction

Provider's Profile

Full Name	Jee Yoon Kim
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	240 Indian River Rd., Orange, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558697565
Provider Enumeration Date: 10/26/2009
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 0244534568
Enrollment ID: I20240325000470

Medical Identifiers

Medical identifiers for Jee Yoon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558697565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	18743 (Tennessee)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	10549 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jee Yoon Kim allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jee Yoon Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jee Yoon Kim, ANP 240 Indian River Rd., Building A Suite 1a, Orange, CT 06477 Ph: () -	Jee Yoon Kim, ANP 240 Indian River Rd., Building A Suite 1a, Orange, CT 06477 Ph: (203) 795-1664

Reviews and Comments

Nurse Practitioner Nurses in Orange, CT

Miss Tatiana Tumeniuk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Indian River Rd Ste A5, Orange, CT 06477 Phone: 203-799-1252
Katherine Siegel, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W Campus Dr, Orange, CT 06477 Phone: 203-432-2700
Samantha Bixby, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Indian River Rd, Orange, CT 06477 Phone: 203-497-3881
Christopher Defrancesco, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 Boston Post Rd Ste 2f, Orange, CT 06477 Phone: 203-795-0568
Jillian Marie Reid, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Indian River Rd, Orange, CT 06477 Phone: 203-497-3861
Roxanne P Chase-wiley, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Indian River Rd Ste C, Orange, CT 06477 Phone: 475-400-7688
Cheryl Waskiewicz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 131 Englewood Dr, Orange, CT 06477 Phone: 203-799-8180 Fax: 209-179-9818

Jee Yoon Kim, ANP - Medicare Nurse Practitioner in Orange, CT